Pomilia, Daisy Ruth
Pomilia, Daisy Ruth is an sole proprietor health care provider with primary practice located at 6154 Mission Gorge Rd 120, San Diego CA 92120-3493. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as her primary health care specialty. Pomilia, Daisy Ruth can be contacted via phone (619) 285-1718.Contact Information
Primary practice address
6154 Mission Gorge Rd 120
San Diego CA 92120-3493
Phone: (619) 285-1718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 370069MN | California |
Profile Details
| NPI number | 1770756546 |
|---|---|
| LBN Legal business name | Pomilia, Daisy Ruth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Apr 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770756546 | NPPES |
| California | MEDICAID | 37AL |
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